Are American radiologists an endangered species?


The advent of outsourcing and offshoring the reading of x-rays along with the emergence of artificial intelligence stimulates this Politico podcast to ask, “Are American radiologists' days numbered?” In interviews with Stefan Tigges MD professor of radiology at Emory University, and Rebecca Smith-Bindman MD, a professor at University of California-San Francisco, we get two very different perspectives. Dr. Tigges tells us the story of his usual work day and in doing so makes a inadvertent but powerful case for why radiology is ripe for disruption. He comes across as a deeply caring, honest, and dedicated physician. But he says that AI and offshoring have failed because these services can not fulfill the relationship side of the work he delivers. He explains that it’s just like Napster, which also failed (umm - what about Apple music or Spotify?) He describes days where he reads 40 CT scans and 150 plain xrays and must take breaks because of mental fatigue. Some CTs have a life-threatening finding visible on only a few of the 6,000 images he had to view. I’m no computer scientist, but this all sounds like a job for AI! In contrast, Dr. Smith-Bindman provides a more nuanced story of how AI will supplement or replace diagnostic skills of the human radiologist. So the radiologist will have to change the job she does, focusing more on developing the integrated treatment plan that emerges from the radiologic findings. Radiologists who are not open to change will be left behind, she predicts. The back-story here is that all medical specialties are ripe for some type of outsourcing or AI disruption.


Listen: Politico's Pulse Check At Work: Radiologists

Read: Stefan Tigges, MD, MSCR and Rebecca Smith-Bindman, MD

Read: for a deeper perspective of humans vs. machines, Humans Are Underrated: What High Achievers Know That Brilliant Machines Never Will

Read: Teleradiology: A Case Study Of The Economic And Legal Considerations In International Trade In Telemedicine

Recent Posts

See All

Hi from HIMSS19!

By Albert DiPiero MD MPH I am at the annual HIMSS meeting in Orlando Florida this week. HIMSS is the Healthcare Information and Management Systems Society. A few quick thoughts: The sheer volume of he

CVS explores new concepts in healthcare

By Albert DiPiero MD MPH CVS - the drug store chain which is also one of America's largest retailers - is not waiting to see what Amazon is up to. CVS is pushing ahead transforming itself from retail

Amazon health venture hires CTO

By Albert DiPiero MD MPH The joint healthcare venture between Amazon-Berkshire Hathaway-JP Morgan Chase (ABJ) just announced the hiring of Serkan Kutan as its CTO. Mr Kutan was most recently chief tec